Healthcare Provider Details

I. General information

NPI: 1730892068
Provider Name (Legal Business Name): MONIKA LEIGH SAVASTANO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2023
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 NEW BOSTON RD
FALL RIVER MA
02720-5814
US

IV. Provider business mailing address

1 RANDALL SQ STE 404
PROVIDENCE RI
02904-7405
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-0911
  • Fax: 508-281-5911
Mailing address:
  • Phone: 401-861-5183
  • Fax: 401-861-5276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN03830
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN2301000
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2301000
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: